Computer network connection IP address request form.

[The form below is also available at
  http://alcor.concordia.ca/~neg/DNS/ip-request-form.txt
 It can be copied and pasted into an e-mail.
]

For EACH computer being connected to the network, or requesting
modification, please fill in the form below by replacing the
underscores with your text.  An explanation of the fields follows
the form.

If your request is for many computers and a spreadsheet is
easier, please use the left side field names below as the row
headers and save the spreadsheet as tab- or comma-delimited
text (*.csv, or *.tsv).  PLEASE SEND TEXT ONLY, NOT .DOC,
.XLS, or any other application-specific format.

Mail the final request to

  hostmaster@concordia.ca

Please note that these requests **MUST** be received from a valid, 
recognized Concordia e-mail address (ex: a_user@asystem.concordia.ca). 
Requests received from e-mail addresses outside the Concordia domain
will not be processed.

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        Responsible person (full-time staff):
IPrpn:    Name: __________
IPrpe:    e-mail: __________ @concordia.ca
IPrpp:    Phone: __________
IPrpd:    Department/faculty/organization: __________

       Administrator/User (if different than responsible person):
IPaun:    Name: __________
IPaue:    e-mail: __________
IPaup:    Phone: __________
IPapd:    Department/faculty/organization: __________

       System/network info:

IPcmp:    Campus (S/L): _
IPbld:    Building (annex): __
IPrmn:    Room: __________
IPdjn:    Wall plate number: __________
IPipp:    IP-phone extension: __________
IPmdl:    Computer make and model: __________
IPosn:    Operating system: __________
IPnet:    Subnet number: 132.205. __________ .xxx
       
IPtyp:    Action (New, Delete, ChangeName, ChangeAddr): ________

	If Action is Change, give current address:

IPhnm:    Host name: __________ .concordia.ca
IPadr:    Current IP address:  132.205. ________ . ________
       
       To be completed by hostmaster:

IPadd:   xxxxxxxx
IPnam:   xxxxxxxx .concordia.ca
         
       Comments:
       __________________________________________________ ...

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Guide to form:

Leave blank any fields where information is unavailable.  Note
that this may delay your request.

"Responsible person":  A full-time employee of the university
who takes responsibility for ensuring that any terms,
conditions, or policies established by the university regarding
computer and network usage are respected.  This includes the
university's acceptable use policy, and any license agreements
for installed software on the system.  In most cases with
desktop PC's, this person is also the Administrator of the
computer.  NOTE:  for student organizations, this is your
umbrella organization, usually CSU.

"Administrator/User":  If not the same as Responsible Person,
is the user(s) who have general access and use of the system.
This is the first contact for any computer-related issues.  In
some cases this may be a departmental technical contact, a lab
technician, or grad student.  For some systems, you may list
"lab", "public", "shared", if many users share them.

"Subnet number":  A subnetwork common to hosts near each other
in buildings and departments.  Chances are good that a nearby
computer is on the same subnet as the new one.  The easiest
way to find a computer's IP is to check this web site:
  http://myip.concordia.ca

"IP-phone extension":  If the computer is plugged into an IP
phone give its extension number.

"Host name":  A requested name if the system is a server.  It
will be checked for uniqueness and acceptability.  You may supply
a list of names if there are aliases needed for the system.  Note
that IP host name can be different from the Windows computer
name.

Page maintained by neg@alcor.concordia.ca
R1.2 gpk 20060201